Long-term outcomes of two different surgical techniques for cesarean. Export

@article{citeulike:3173714, abstract = {OBJECTIVE: To assess the rate of adhesions and other long-term outcomes of two cesarean delivery techniques. METHODS: A total of 600 women were randomly assigned to either a standard (Pfannenstiel-Kerr) or modified (Joel-Cohen-Stark) technique for first-time cesarean delivery. A total of 124 women were assessed at repeat cesarean delivery. The primary outcome measure was the presence of adhesions. RESULTS: At repeat cesarean delivery, anesthesia-to-delivery time, total duration of surgery, change in hemoglobin level, time to mobilization and oral intake, and postoperative hospital stay were significantly less with the modified technique. Adhesions were found in 7 (11.3\%) and 22 (35.5\%) of the cases using the modified and standard techniques, respectively (P=0.0026; relative risk 3.14 [95\% CI, 1.45-6.82]). CONCLUSION: A modified cesarean delivery technique, including Joel-Cohen incision, exteriorized full thickness suturing of the uterine incision, and non-closure of the peritoneum may reduce long-term morbidities of the procedure.}, address = {University of Ain Shams, Cairo, Egypt. ashraf.nabhan@gmail.com}, author = {Nabhan, A. F.}, citeulike-article-id = {3173714}, citeulike-linkout-0 = {http://dx.doi.org/10.1016/j.ijgo.2007.07.011}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/17904561}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=17904561}, doi = {10.1016/j.ijgo.2007.07.011}, issn = {0020-7292}, journal = {International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics}, keywords = {cesarean}, month = {January}, number = {1}, pages = {69--75}, posted-at = {2008-08-29 18:46:28}, priority = {0}, title = {Long-term outcomes of two different surgical techniques for cesarean.}, url = {http://dx.doi.org/10.1016/j.ijgo.2007.07.011}, volume = {100}, year = {2008} }

TY - JOUR ID - citeulike:3173714 L3 - citeulike-article-id:3173714 N2 - OBJECTIVE: To assess the rate of adhesions and other long-term outcomes of two cesarean delivery techniques. METHODS: A total of 600 women were randomly assigned to either a standard (Pfannenstiel-Kerr) or modified (Joel-Cohen-Stark) technique for first-time cesarean delivery. A total of 124 women were assessed at repeat cesarean delivery. The primary outcome measure was the presence of adhesions. RESULTS: At repeat cesarean delivery, anesthesia-to-delivery time, total duration of surgery, change in hemoglobin level, time to mobilization and oral intake, and postoperative hospital stay were significantly less with the modified technique. Adhesions were found in 7 (11.3%) and 22 (35.5%) of the cases using the modified and standard techniques, respectively (P=0.0026; relative risk 3.14 [95% CI, 1.45-6.82]). CONCLUSION: A modified cesarean delivery technique, including Joel-Cohen incision, exteriorized full thickness suturing of the uterine incision, and non-closure of the peritoneum may reduce long-term morbidities of the procedure. IS - 1 JF - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics SN - 0020-7292 AD - University of Ain Shams, Cairo, Egypt. ashraf.nabhan@gmail.com EP - 75 TI - Long-term outcomes of two different surgical techniques for cesarean. VL - 100 SP - 69 KW - cesarean AU - Nabhan, AF PY - 2008/01// UR - http://dx.doi.org/10.1016/j.ijgo.2007.07.011 ER -